location
search-icon
person
Tijuana Temple, FNP
Family Nurse Practitioner in Coram, New York
NPI 1881369486

Tijuana Temple is a Family Nurse Practitioner based in Coram, NY and is specialized in Family. Tijuana Temple practices in Coram, NY and has the professional credentials of FNP. The NPI Number for Tijuana Temple is 1881369486 and holds a License No. 348067 (New York).

The current practice location address for Tijuana Temple is 65 Pennaquid Rd, Coram, NY and can be reached out via phone at 631-605-1783.

Location: 65 Pennaquid Rd, Coram, NY, 11727-1227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881369486
Provider Name
Tijuana Temple
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
65 Pennaquid Rd, Coram, NY, 11727-1227
Phone Number
631-605-1783
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Pennaquid Rd
City
Coram
State
New York
Zip
11727-1227
Phone Number
631-605-1783
Fax Number
person
Provider Business Mailing Address Details
Address
65 Pennaquid Rd
City
Coram
State
New York
Zip
11727-1227
Phone Number
631-605-1783
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
348067 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.